Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Other names
Southeast Medicine Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH W DRAKE (OUTPATIENT PHARMACY MANAGER)
(334) 793-8116
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR STE 160, DOTHAN, AL 36301-3022
(334) 793-8116
Mailing address
1108 ROSS CLARK CIR STE 160, DOTHAN, AL 36301-3022
(334) 793-8116
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
10/16/2024
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